Yamamura Mellina, Santos-Neto Marcelino, dos Santos Rebeca Augusto Neman, Garcia Maria Concebida da Cunha, Nogueira Jordana de Almeida, Arcêncio Ricardo Alexandre
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Centro de Ciências Sociais, Saúde e Tecnologia, Universidade Federal do Maranhão, Imperatriz, MA, Brazil.
Rev Lat Am Enfermagem. 2015 Sep-Oct;23(5):910-8. doi: 10.1590/0104-1169.0450.2631.
to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil.
an ecological study, in which the population consisted of 114 cases of death from tuberculosis. Bivariate analysis was carried out, as well as point density analysis, defined with the Kernel estimate.
of the cases of death from tuberculosis, 50 were the immediate cause and 64 an associated cause. Age (p=.008) and sector responsible for the death certificate (p=.003) were the variables that presented statistically significant associations with the cause of death. The spatial distribution, in both events, did not occur randomly, forming clusters in areas of the municipality.
the difference in the profiles of the cases of death from tuberculosis, as a basic cause and as an associated cause, was governed by the age and the sector responsible for the completion of the death certificate. The non-randomness of the spatial distribution of the cases suggests areas that are vulnerable to these events. Knowing these areas can contribute to the choice of disease control strategies.
描述以结核病为直接或相关死因的死亡病例在临床和流行病学特征上的差异，并分析巴西里贝朗普雷图地区结核病死亡病例的空间分布情况。
一项生态学研究，研究对象为114例结核病死亡病例。进行了双变量分析以及采用核估计定义的点密度分析。
在结核病死亡病例中，50例为直接死因，64例为相关死因。年龄（p = 0.008）和负责开具死亡证明的部门（p = 0.003）是与死因存在统计学显著关联的变量。在这两种情况下，空间分布都不是随机发生的，而是在该市的一些区域形成了聚集。
结核病死亡病例作为根本死因和相关死因时，其特征差异受年龄和负责开具死亡证明的部门影响。病例空间分布的非随机性表明了易发生这些事件的区域。了解这些区域有助于疾病控制策略的选择。
